| Autor: |
Tao Yang, Jie Yu, Hao Shen, Chao‐Zhi Yang, Ping Zhang, Yi Li, Hai‐Tao Wu |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Ibrain, Vol 8, Iss 2, Pp 141-147 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2769-2795 |
| DOI: |
10.1002/ibra.12032 |
| Popis: |
Abstract Objective This study aimed to explore the risk factors associated with reoperation for postoperative hemorrhages after severe traumatic brain injury (sTBI) craniotomy and establish a risk nomogram model. Methods A retrospective case‐control study was performed. Overall, 367 patients who were diagnosed with sTBI and fulfilled the inclusion criteria were enrolled from the Department of Neurosurgery of the Affiliated Hospital of Zunyi Medical University between January 2015 and December 2020. They were divided into a reoperation group and a non‐reoperation group according to whether they underwent reoperation for hemorrhages. Using univariate binary logistic regression analysis, the possible risk factors were screened. Subsequently, the independent risk factors of reoperation for postoperative hemorrhages were screened using the forward step method of multivariate binary logistic regression analysis, and a corresponding nomogram model was constructed. The receiver operative characteristic (ROC) curve was used to evaluate the reliability of the model. Finally, 30% of the data were randomly selected for internal verification of the model. Results The reoperation rate for hemorrhage after sTBI emergency craniotomy was 14.71% (54/367); multivariate logistic regression analysis showed that multiple hemorrhages (odds ratio [OR] = 4.38, 95% confidence interval [CI]: 1.815–10.587, p = 0.001), day or night surgery (OR = 0.26, 95% CI: 0.119–0.547, p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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